User-Centered Development of a Behavioral Economics Inspired Electronic Health Record Clinical Decision Support Module.
Stud Health Technol Inform
; 264: 1155-1158, 2019 Aug 21.
Article
de En
| MEDLINE
| ID: mdl-31438106
ABSTRACT
Changing physician behaviors is difficult. Electronic health record (EHR) clinical decision support (CDS) offers an opportunity to promote guideline adherence. Behavioral economics (BE) has shown success as an approach to supporting evidence-based decision-making with little additional cognitive burden. We applied a user-centered approach to incorporate BE "nudges" into a CDS module in two "vanguard" sites utilizing (1) semi-structured interviews with key informants (n = 8); (2) a design thinking workshop; and (3) semi-structured group interviews with clinicians. In the 133 day development phase at two clinics, the navigator section fired 299 times for 27 unique clinicians. The inbasket refill alert fired 124 times for 22 clinicians. Fifteen prescriptions for metformin were written by 11 clinicians. Our user-centered approach yielded a BE-driven CDS module with relatively high utilization by clinicians. Next steps include the addition of two modules and continued tracking of utilization, and assessment of clinical impact of the module.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Systèmes d'aide à la décision clinique
/
Dossiers médicaux électroniques
Type d'étude:
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
/
Qualitative_research
Limites:
Humans
Langue:
En
Journal:
Stud Health Technol Inform
Sujet du journal:
INFORMATICA MEDICA
/
PESQUISA EM SERVICOS DE SAUDE
Année:
2019
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique